| NPI | 1346897063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 138983) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95135090) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2022-02-02 |